29 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... Serial troponin; HEART
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... Watch how the heart ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia - Differential ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... /Vessels (Heart ... #Diagnosis #algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Failure - Differential ... Diagnosis Algorithm ... Cardiac Causes ... • Pericardial Tamponade
Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,
Cardiac tamponade ... - a swinging heart ... Ivan_Echocardio #Cardiac ... #tamponade #electrical ... #PSAX #clinical
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... diagnostics as clinically ... echocardiogram, ... EKG) Dr. ... iBookCC #COVID19 #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Tamponade, Severe ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... tamponade → 3-9 ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential